TERRY ALLEN GANDER - Physician Assistant License in Illinois | # 085004565

TERRY ALLEN GANDER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004565

License Status

NOT RENEWED

Business

N

First Name

TERRY

Middle

ALLEN

Last Name

GANDER

Business Name

TERRY ALLEN GANDER

Original Issue Date

11/15/2012

Effective Date

01/27/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016